Organization Active NPI

Lexington Psychiatry LLC

  • Psychiatry Physician
  • Lexington, MA
National Provider Identifier
1407393945
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LEXINGTON PSYCHIATRY LLC
Practice address
1666 Mass Ave
Floor 2 Suite 3
Lexington, MA 02420-5317
Phone
(781) 561-1600
Fax
(781) 538-4334
NPI assigned
Jan 23, 2017
Last updated
Jan 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tilottoma Mukherjee
Title
Owner, MD
Phone
(781) 561-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

1666 Mass Ave
Floor 2 Suite 3
Lexington, MA 02420-5317

Mailing address

1666 Mass Ave
Floor 2 Suite 3
Lexington, MA 02420-5317
Phone (781) 561-1600

National Provider Directory

National Provider Directory

Locations

1666 Massachusetts Ave
Fl 2
Lexington, MA 02420
Phone (781) 561-1600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1407393945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 MASS AVE",
            "address_2": "FLOOR 2 SUITE 3",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024205317",
            "telephone_number": "781-561-1600",
            "fax_number": "781-538-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 MASS AVE",
            "address_2": "FLOOR 2 SUITE 3",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024205317",
            "telephone_number": "781-561-1600",
            "fax_number": "781-538-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "MUKHERJEE",
        "authorized_official_first_name": "TILOTTOMA",
        "authorized_official_title_or_position": "OWNER, MD",
        "authorized_official_telephone_number": "781-561-1600"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.